| NPI | 1649602384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN B TYSON Chief Executive Officer 626-798-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |